| NPI | 1174128367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 122237) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 19531) |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2020-12-03 |